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Dr. D. Love, Doctor

Category: Medical

Satisfied Customers: 17551

Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.

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I have had consistent lower abdominal pain since last may.

Customer Question

i have had consistent lower abdominal pain since last may. have been told it is the result of appendix surgery 2 1/2 years ago. have had ct scan and mri scan and have been diagnosed with ibs. I am ill and off work around once every 3-4 weeks. when I am ill I am in severe pain, vomit and have constipation. none of the pills given by my gp make any difference.

Hello from JustAnswer.I am sorry that you have been having chronic abdominal pain.However, it is unclear what question you are asking.Are you asking whether these diagnoses could cause the pain that you describe?If you are seeking other information, could you specify what would be helpful?

I did read your post, but you did not pose a question, which is why I asked what question you were asking. Without being able to perform an exam or other evaluation, I cannot make a diagnosis. However, I can tell you that it is statistically most likely that IBS is the cause of chronic lower abdominal pain associated with nausea, vomiting, and constipation. IBS is actually very common, affecting about 10-20% of people at some point in their lives. However, it is also true that scarring and adhesions related to prior abdominal surgery also can be a cause of chronic lower abdominal pain. IBS is statistically more likely, but scarring/adhesions are possible.

There is no good treatment for scarring/adhesions. The only direct treatment would be surgery to release the adhesions, but since surgery is the original cause of the scarring/adhesions, doctors are hesitant to perform a second surgery, unless the pain is more severe and intractable or is causing other complications, such as obstruction. So, in most people treatment is by symptomatic relief.

I am sorry for the delay but I had left the computer when I had not heard back from you for a while. Symptomatic relief is exactly what it says - something to relieve symptoms, such as laxatives for constipation or pain medicines for pain.

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